Leah Moseley
Individual provider Active NPI Social Worker · Gray, TN
NPI 1407256381 · NPPES record last updated Aug 28, 2014
Key facts
- NPI
- 1407256381
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 363 Wiltshire Dr
Gray, TN 37615-4818 - Phone
- (423) 948-2076
- NPI assigned
- Aug 28, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
363 Wiltshire Dr
Gray, TN 37615-4818
Mailing address
363 Wiltshire Dr
Gray, TN 37615-4818
Phone (423) 948-2076
Other providers in Gray, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.